OrganizationActive
Abundant Living Foundation, Inc.
NPI 1366200651 · Exclusive Provider Organization · Canton, GA
Provider details
- NPI number
- 1366200651
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Evelynmarie Dorce, Founder & Executive Director
Practice location
1558 Marietta Hwy Ste 200
Canton, GA 30114-3615
Phone: (914) 275-1477
Mailing address
840 Commerce Trl
Canton, GA 30114-7572
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.